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Guardian Angels Elim Home Care, Inc.

Company Details

Name: Guardian Angels Elim Home Care, Inc.
Jurisdiction: Minnesota
Legal type: Nonprofit Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 27 Sep 1996 (28 years ago)
Company Number: da8c51d7-add4-e011-a886-001ec94ffe7f
File Number: 1O-616
Registered Office Address: 403 Main Street, Elk River, MN 55330, USA
ZIP code: 55330
County: Sherburne County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GUARDIAN ANGELS ELIM HOME CARE INC. TAX DEFERRED ANNUITY PLAN 2021 411852308 2022-03-29 GUARDIAN ANGELS - ELIM HOME CARE INC 58
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 623000
Sponsor’s telephone number 7634524104
Plan sponsor’s address 403 MAIN ST, ELK RIVER, MN, 553302604

Signature of

Role Plan administrator
Date 2022-03-29
Name of individual signing JULIE EMBRY
Valid signature Filed with authorized/valid electronic signature
GUARDIAN ANGELS ELIM HOME CARE INC. TAX DEFERRED ANNUITY PLAN 2020 411852308 2021-05-21 GUARDIAN ANGELS - ELIM HOME CARE INC 57
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 623000
Sponsor’s telephone number 7634524104
Plan sponsor’s address 403 MAIN ST, ELK RIVER, MN, 553302604

Signature of

Role Plan administrator
Date 2021-05-21
Name of individual signing JULIE EMBRY
Valid signature Filed with authorized/valid electronic signature
GUARDIAN ANGELS ELIM HOME CARE, INC. EMPLOYEES PENSION PLAN 2019 411852308 2020-12-15 GUARDIAN ANGELS ELIM HOME CARE, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 623000
Sponsor’s telephone number 7634524104
Plan sponsor’s address 403 MAIN STREET, ELK RIVER, MN, 55330

Signature of

Role Plan administrator
Date 2020-12-15
Name of individual signing JULIE EMBRY
Valid signature Filed with authorized/valid electronic signature
GUARDIAN ANGELS - ELIM HOME CARE INC. EMPLOYEES PENSION PLAN 2019 411852308 2020-09-03 GUARDIAN ANGELS - ELIM HOME CARE INC 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 623000
Sponsor’s telephone number 7634524104
Plan sponsor’s address 403 MAIN ST, ELK RIVER, MN, 553302604

Signature of

Role Plan administrator
Date 2020-09-03
Name of individual signing JULIE EMBRY
Valid signature Filed with authorized/valid electronic signature
GUARDIAN ANGELS ELIM HOME CARE INC. TAX DEFERRED ANNUITY PLAN 2019 411852308 2020-09-03 GUARDIAN ANGELS - ELIM HOME CARE INC 70
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 623000
Sponsor’s telephone number 7634524104
Plan sponsor’s address 403 MAIN ST, ELK RIVER, MN, 553302604

Signature of

Role Plan administrator
Date 2020-09-03
Name of individual signing JULIE EMBRY
Valid signature Filed with authorized/valid electronic signature
GUARDIAN ANGELS - ELIM HOME CARE INC. EMPLOYEES PENSION PLAN 2018 411852308 2019-07-23 GUARDIAN ANGELS - ELIM HOME CARE INC 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 623000
Sponsor’s telephone number 7634524104
Plan sponsor’s address 403 MAIN ST, ELK RIVER, MN, 553302604

Signature of

Role Plan administrator
Date 2019-07-23
Name of individual signing JULIE EMBRY
Valid signature Filed with authorized/valid electronic signature
GUARDIAN ANGELS ELIM HOME CARE INC. TAX DEFERRED ANNUITY PLAN 2018 411852308 2019-07-23 GUARDIAN ANGELS - ELIM HOME CARE INC 71
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 623000
Sponsor’s telephone number 7634524104
Plan sponsor’s address 403 MAIN ST, ELK RIVER, MN, 553302604

Signature of

Role Plan administrator
Date 2019-07-23
Name of individual signing JULIE EMBRY
Valid signature Filed with authorized/valid electronic signature
GUARDIAN ANGELS - ELIM HOME CARE INC. EMPLOYEES PENSION PLAN 2017 411852308 2018-10-03 GUARDIAN ANGELS - ELIM HOME CARE INC 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 623000
Sponsor’s telephone number 7634524104
Plan sponsor’s address 403 MAIN ST, ELK RIVER, MN, 553302604

Signature of

Role Plan administrator
Date 2018-10-03
Name of individual signing JULIE EMBRY
Valid signature Filed with authorized/valid electronic signature
GUARDIAN ANGELS ELIM HOME CARE INC. TAX DEFERRED ANNUITY PLAN 2017 411852308 2018-10-03 GUARDIAN ANGELS - ELIM HOME CARE INC 73
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 623000
Sponsor’s telephone number 7634524104
Plan sponsor’s address 403 MAIN ST, ELK RIVER, MN, 553302604

Signature of

Role Plan administrator
Date 2018-10-03
Name of individual signing JULIE EMBRY
Valid signature Filed with authorized/valid electronic signature
GUARDIAN ANGELS - ELIM HOME CARE INC. EMPLOYEES PENSION PLAN 2016 411852308 2017-09-29 GUARDIAN ANGELS - ELIM HOME CARE INC 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 623000
Sponsor’s telephone number 7634524104
Plan sponsor’s address 403 MAIN ST, ELK RIVER, MN, 553302604

Signature of

Role Plan administrator
Date 2017-09-29
Name of individual signing JULIE EMBRY
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address
Andrea Jung President 403 MAIN ST NW, ELK RIVER, MN 55330–1533, USA

Filing

Filing Name Filing date
Registered Office - Nonprofit Corporation (Domestic) 2013-10-23
Registered Office and/or Agent - Nonprofit Corporation (Domestic) 1998-10-06
Original Filing - Nonprofit Corporation (Domestic) 1996-09-27
Nonprofit Corporation (Domestic) Business Name (Business Name: Guardian Angels Elim Home Care, Inc.) 1996-09-27

Date of last update: 02 Oct 2024

Sources: Minnesota's Official State Website